Individual
DR. TERESA ELLEN REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
60 MDG/SGDD, 101 BODIN CIRCLE, TRAVIS AFB, TRAVIS AFB, CA 94535
(707) 423-7008
Mailing address
60 MDG/SGDD, 101 BODIN CIRCLE, TRAVIS AFB, TRAVIS AFB, CA 94535
(707) 423-7008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
17112
TX
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
17112
TX
Other
Enumeration date
09/15/2005
Last updated
11/15/2021
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